Feasibility of an Evidence-Based Weight Loss Intervention for a Faith-Based, Rural, African American Population

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Yeary, Karen Hye-cheon Kim ; Cornell, Carol E. ; Moore, Page ; Bursac, Zoran ; Prewitt, T. Elaine ; West, Delia Smith ; Turner, Jerome
• Description:
  Background ; African Americans and rural residents are disproportionately affected by obesity. Innovative approaches to address obesity that are sensitive to the issues of rural African Americans are needed. Faith-based and community-based participatory approaches show promise for engaging racial/ethnic minorities to change health outcomes, but few faith-based weight loss interventions have used a community-based participatory approach. ; Community Context ; A faith-based weight loss intervention in the Lower Mississippi Delta arose from a 5-year partnership between academic and community partners representing more than 30 churches and community organizations. ; Methods ; Community and academic partners translated the 16 core sessions of the Diabetes Prevention Program for rural, church-going African American adults. The feasibility of the lay health advisor–led delivery of the 16-week (January-May 2010), 16-session, adapted intervention was assessed in 26 participants from 3 churches by measuring recruitment, program retention, implementation ease, participant outcomes, and program satisfaction. ; Outcome ; Twenty-two of 26 participants (85%) provided 16-week follow-up data. Lay health advisors reported that all program components were easy to implement except the self-monitoring component. Participants lost an average of 2.34 kg from baseline to 16-week follow-up, for a mean weight change of −2.7%. Participants reported enjoying the spiritual and group-based aspects of the program and having difficulties with keeping track of foods consumed. The intervention engaged community partners in research, strengthened community-academic partnerships, and built community capacity. ; Interpretation ; This study demonstrates the feasibility of delivering this adapted intervention by lay leaders through rural churches.
• Subjects:
  • Adult
  • Black or African American
  • Behavior Therapy
  • Evidence-Based Medicine
  • Faith-Based Organizations
  • Feasibility Studies
  • Follow-Up Studies
  • Health Education
  • Humans
  • Life Style
  More +
• Source:
  Prev Chronic Dis. 2011; 8(6).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  8
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/20647/cdc_20647_DS1.pdf
• File Type:
  [PDF - 701.62 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:272579d32d7895378ee488df6886802140bf1ad455339f5957af6b439876c19c30f2f59cf515030deaef5508146ee92e18ec5627667e306d5559672a52cfb397